Individual
STEPHEN BLAINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5187 US ROUTE 60 E, SUITE # 9, HUNTINGTON, WV 25705-2076
(304) 399-2222
(304) 399-2223
Mailing address
5187 US ROUTE 60 E, SUITE # 9, HUNTINGTON, WV 25705-2076
(304) 399-2222
(304) 399-2223
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
18744
WV
208200000X
Plastic Surgery Physician
81842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722820
BLUE CROSS
WV
01
—
066033492
AETNA
—
05
—
1000263000
—
WV
01
—
1057260
WV WORKER'S COMP
WV
01
—
240007609
RAILROAD MEDICARE
WV
Enumeration date
05/23/2006
Last updated
05/10/2013
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